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| Name | Class |
|---|---|
| Region Örebro County | OTHER |
| Linkoeping University | OTHER_GOV |
| Örebro University, Sweden | OTHER |
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The purpose of this study is to assess if arm elevation, with or without simultaneous deep breathing, affects oxygen saturation and lung function on patients two to four days after open heart surgery.
This single center, interventional crossover study will involve patients day 2, 3 or 4 after open heart surgery. Patients who meet the eligibility requirements will be informed about the study and potential risks, given a written informed consent they will be included for intervention being held later on the same day. Randomization will be given to the investigator in a sealed envelope and being opened after base line measurements. Data will then be collected for the randomized intervention and after a wash out period (several minutes) again for the crossover intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| upper extremity elevation | Experimental | performing intervention A (5 repetitions of upper extremity elevation), and then crossed over to intervention B (5 repetitions of upper extremity with deep breathing). |
|
| upper extremity elevation with deep breathing | Experimental | performing intervention B (5 repetitions of upper extremity with deep breathing), and then crossed over to intervention A (5 repetitions of upper extremity elevation). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| upper extremity elevation | Other | 5 repetitions of active upper extremity elevation in a sitting position |
|
| Measure | Description | Time Frame |
|---|---|---|
| peripheral oxygen saturation | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| tidal volume | 30 minutes | |
| heart rate | 30 minutes | |
| respiratory rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital | Örebro | 70186 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39198875 | Derived | Reinhart M, Jonsson M, Enthoven P, Westerdahl E. Immediate effects of upper limb exercises with and without deep breathing on lung function after cardiac surgery - a randomized crossover trial. J Cardiothorac Surg. 2024 Aug 28;19(1):503. doi: 10.1186/s13019-024-03007-z. |
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| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D017202 | Myocardial Ischemia |
| D006349 | Heart Valve Diseases |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| upper extremity elevation with deep breathing | Other | 5 repetitions of active upper extremity elevation with deep breathing in a sitting position |
|
| 30 minutes |
| pain - numeric rating scale | Pain (sternal, thorax or overall pain) will be measured before and after intervention, NRS will be used (patient rating of perceived pain with a score from 0 to 10) | 30 minutes |
| dyspnea - numeric rating scale | Dyspnea will be measured before and after intervention, NRS will be used (patient rating of perceived dyspnea with a score from 0 to 10) | 30 minutes |
| exertion - numeric rating scale | exertion will be measured before and after intervention, NRS will be used (patient rating of perceived exertion with a score from 0 to 10) | 30 minutes |